The clinical effectiveness and cost-effectiveness of low-intensity psychological interventions for the secondary prevention of relapse after depression: a systematic review

Autor: M Rodgers, M Asaria, S Walker, D McMillan, M Lucock, M Harden, S Palmer, A Eastwood
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Health Technology Assessment, Vol 16, Iss 28 (2012)
Druh dokumentu: article
ISSN: 1366-5278
2046-4924
DOI: 10.3310/hta16280
Popis: Background: Depression is the most common mental disorder in community settings and a major cause of disability across the world. The objective of treatment is to achieve remission or at least adequate control of depressive symptoms; however, even after successful treatment, the risk of relapse after remission is significant. Although the effectiveness of low-intensity interventions has been extensively evaluated to treat primary symptoms of psychological difficulties, there has been substantially less research examining the use of these interventions as a relapse prevention strategy. Objective: To systematically review the clinical effectiveness and cost-effectiveness of low-intensity psychological or psychosocial interventions to prevent relapse or recurrence in patients with depression. As the broader definition of ‘low-intensity’ psychological intervention is somewhat contested, the review was conducted in two parts: A, a systematic review of all evaluations of ‘low-intensity’ interventions that were delivered by para-professionals, peer supporters or psychological well-being practitioners as defined by the Improving Access to Psychological Therapies programme; and B, a scoping review of relevant evaluations of interventions involving qualified mental health professionals (e.g. psychiatrists, clinical psychologists, cognitive behavioural therapists) involving
Databáze: Directory of Open Access Journals